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Medical: 5 Endocrinology: 4

          • (7)

            Agitation

          • (8)

            Abdominal pain

          • (9)

            Delirium

          • (10)

            Coma

      • 4.

        Management

        • a.

          Airway and ventilation

        • b.

          Circulation

        • c.

          Pharmacological interventions

          • (1)

            Anti-thyroid drugs - in hospital management

          • (2)

            Beta adrenergic receptor blockers

        • d.

          Non-pharmacological interventions

        • e.

          Transport consideration

          • (1)

            Appropriate mode

          • (2)

            Appropriate facility

        • f.

          Psychological support/ communication strategies

    • F.

      Myxedema (adult hypothyroidism)

      • 1.

        Epidemiology

        • a.

          Incidence

        • b.

          Mortality/ morbidity

        • c.

          Risk factors

        • d.

          Prevention strategies

      • 2.

        Pathophysiology

        • a.

          A disease caused by hyposecretion of the thyroid gland during the adult years

      • 3.

        Assessment

        • a.

          History

        • b.

          Signs and symptoms

          • (1)

            Edematous face

          • (2)

            Periorbital edema

          • (3)

            Mask-like effect

          • (4)

            Impaired memory

          • (5)

            Slowed speech

          • (6)

            Decreased initiative

          • (7)

            Somnolence

          • (8)

            Cold intolerance

          • (9)

            Dry, coarse skin

          • (10)

            Muscle weakness and swelling

          • (11)

            Constipation

          • (12)

            Weight gain

          • (13)

            Hair loss

          • (14)

            Hoarseness

      • 4.

        Management

        • a.

          Airway and ventilation

        • b.

          Circulation

        • c.

          Pharmacological interventions

        • d.

          Non-pharmacological interventions

        • e.

          Transport consideration

          • (1)

            Appropriate mode

          • (2)

            Appropriate facility

        • f.

          Psychological support/ communication strategies

  • IV.

    Corticosteroid excess - Cushing's syndrome

United States Department of Transportation National Highway Traffic Safety Administration Paramedic: National Standard Curriculum

11

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